| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,234 |
1,175 |
$37K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
562 |
521 |
$23K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
357 |
342 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
843 |
811 |
$15K |
| 92015 |
Determination of refractive state |
1,245 |
1,197 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
536 |
514 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
57 |
51 |
$5K |
| 99072 |
|
47 |
47 |
$798.00 |
| V2715 |
Prism, per lens |
27 |
24 |
$61.38 |